1. Patient hand-offs: Transition not always done well. Difficult for the provider who is taking over to get accurate picture of patient's history quickly.

2. Lack of standardized collection/presentation of patients' vital signs-- difficult to get a quick snapshot of a patient's condition. The reporting from the multitude of monitoring devices is not interoperable.

3. Family-centered care: Transmittal of data between Doctors, Nurses, and Family. Difficult to find balance between family members wanted to be present but getting in the way of care, stressing out providers.

Some current ICU layouts prevent direct sightlines or require that nurses walk long distances between patients and supply/support areas; Family members can block views into the room; Visibility of nurses as they observe may adversely affect their performance; Patients in non-visible rooms have a higher mortality rate than patients in visible rooms.

How do you allow for transparency of nurse process while preventing them from feeling on display?

Problem 1: Nurses are not always responding to critical alarms. A key aspect is that there are an excessively high percentage of false alarms.
Problem 2: There is a lack of information from alarms, no distinction of what it is for or how critical the alarm may be.
Problem 3: Proven infection control processes are not always followed when inserting central line catheters.

Project #2 - Problem Statements

Project Group 1

Project Group 2

Problems:

1. Patient hand-offs: Transition not always done well. Difficult for the provider who is taking over to get accurate picture of patient's history quickly.

2. Lack of standardized collection/presentation of patients' vital signs-- difficult to get a quick snapshot of a patient's condition. The reporting from the multitude of monitoring devices is not interoperable.

3. Family-centered care: Transmittal of data between Doctors, Nurses, and Family. Difficult to find balance between family members wanted to be present but getting in the way of care, stressing out providers.

Project Group 6

Project Group 7

Project Group 8

Problem 1: Nurses are not always responding to critical alarms. A key aspect is that there are an excessively high percentage of false alarms. Problem 2: There is a lack of information from alarms, no distinction of what it is for or how critical the alarm may be. Problem 3: Proven infection control processes are not always followed when inserting central line catheters.

Project Group 10

- Visibility is difficult in rooms with inboard toilets (common in non-ICU rooms which are converted to ICU rooms).

- Round ICU layouts are difficult to fit with rectilinear furniture.

- Nurses feel out of touch with patients because of having to "nurse" the abundance of machines.

- Nurses feel un comfortable with aspects of family involvement, including being seen causing pain to the patient and being interrupted by the family asking questions or talking to them while they are performing duties such as charting.

Team Close the Loop

Group Members: Ann Rogers, Kushal Waghmare

Topic: ICU Nurse Interruption Strategies

Problem:
Intrusions by other people, a major cause of nurse interruption, have been shown to increase medication errors, raise stress levels and decrease productivity in task completion, yet current intrusion prevention strategies are limited in scope, performance, and understandability.

Touch-less Hygiene Supply Dispenser

Problem:
The storage in the patient room leads to wastage of lot of supplies in the patient room as the stored supplies are discarded once a patient is discharged, since they get contaminated during the patient’s stay. The reason for the supply to be considered contaminated is due to the
following reasons.

· Nurses/ Attendants touch the supplies with their hands

· The supply is exposed to the patient room environment directly

Solution:
We are proposing to provide a storage system that acts as the supply dispenser system. The storage system should be easily accessible but isolated from the atmosphere. Following are the some of the requirements that need to be satisfied by the solution:

· Flexibility to change supplies as per patient need

· Infection free

· Accessible in the patient room

· More economical than a cabinet system

· More flexibility with the patient room layout

· Can be incorporated with any existing ICU room infrastructure

Team From Family with Love

Group Members: Chih-Pin Hsiao, Mengdie Hu, Takahiro Ito, Thomas Roh

Topic: From Family with Love

Problem:
The patient’s family cannot stay with the patient at all times because of work, errands, etc. The icu patient’s emotional attachment needs are not satisfied when family and friends are away. Patients feel loneliness; they need to know that someone cares about them and empathizes with them. Synchronous communication can interfere with patient’s care, and it is hard to time the schedule of the patient with schedule of the family.

Solution:
-simple enough to require little manipulation to use

-drinking water bottle, daily habits activate the messages

-twitter or facebook account

-digitalized thank you card

-everybody has a support group

-message device

-audio vs. visual

Team Infection Control

Group Members: Siming Mao, Pallavi Dheram, Wanlin Xiang

Topic: Transition space Design for NICU

Problem:

Due to neonates' immature immune system, NICU is a high risk area for developing infections. Family visiting management is an important part of infection control in NICU. According to field observation, the existing infection control measures in NICU have not fully considered the special restrictions on light and noise in NICU and the needs from family visitors.

Solutions:

Design a transition space which serves as

- A welcome room in which family visitors could stay here waiting for nurses when they come to visit for the first time and family visitors would be informed with basic information about expectations in NICU.

Project #7 - Action Plan

Each group provide: 1) current group name; 2) group members and emails; 3) Current problem statement--succinct "elevator" talk that provides the specific problem that you're solving; 4)Description of the solution with relevant sketches; 5) Work plan: milestones for each class between now and Dec 9, with a description of what each person will do; 6) Resources needs: materials, input, expertise and who on your team will be responsible for acquiring them; 7) Main faculty coach you request